Category: Uncategorized

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Taking Estrogen Blocker with Propecia

I had a transplant done 2 months ago at a hair transplant office. Right now I’m in the waiting period to see any growth. I’m also on propecia for one month. I love working out, but I have some preexisting gynomastica (not sure how to spell it). I have ordered and estrogen blocker to help prevent anymore possible gyno. I was wondering if taking this product will at all interfere with any propecia results or results from my transplant? Any info would be greatly appreciated. This estrogen blocker also acts as a testosterone booster as well. That is what makes me wonder the most. Thank you for your time.

The permanent hair from the donor area is usually not affected by hormones, so I would expect that it would not impact your hair transplant, but it might impact the other hair in the vicinity (the original hair is at risk here). Any testosterone booster will work against your goal and contribute to more hair loss. Get in touch with your doctor and get his guidance.


2006-05-25 08:38:14Taking Estrogen Blocker with Propecia

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FUE Training and Tools

I’ve read your blog with interest, especially having just returned from the ISHRS at San Diego. Could you comment more about the types of punch biopsy that you use, and where one can purchase them. Also, can arrangement be made where I can get some hands-on/observation training on the FUE technique?

Any help would be appreciated.

I am generally not in a position to train doctors. It takes many months to learn and master the FUE technique. Generally, I believe that a year fellowship is the right solution for the doctor who wants to learn this process. Structured learning is the right way to learn. The instruments are not available for sale yet.

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Taking Propecia for 5 Months, Hair Worse Than Before

My question is about Propecia. I have been on it for almost 5 months now and I have experienced a terrible shed. It is now almost 5 months that I have been shedding and it does not seen to improve, even after all this time. My front hairline is now much worse and Propecia has made my hair much more thin than it ever was before. If Propecia does not cause balding, then why is it doing this to me? I would have been much better off not taking it at all. Will the hairs grow back that shed or have I lost them forever?

Clearly what you are telling us is very unusual. Usually the hair loss stops or slows in less than 5 months. I would certainly check with your doctor for the possibility that you have a cause of hair loss that is not classic male patterned hair loss.


2007-04-24 09:36:15Taking Propecia for 5 Months, Hair Worse Than Before

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Tapped on the Head After a Hair Transplant

BoxHello Dr. Rassman! I am very grateful for the information that you provide for all of us trying to find legitimate ways to mitigate hair loss and for answering my questions in the past.

It has been almost three months since my hair transplant procedure and I am looking forward to the results. I do recall however that 3 days after my procedure, a friend of mine inadvertently tapped my head back then with a folded box. There was no pain, no bleeding occured and the force of the tap itself was lightly moderate.

My question would be: Could that tap may have affected the grafts in the recepient area that the box may have touched? I’m just concerned that that particular single tap (no taps or hits with any object have occured since then) may have affected any of the grafts that the box may have touched back then. Any input would be greatly appreciated. Thank you!

As long as it was a single tap, and the box was folded, and the color of the box was brown… you should be fine. 🙂

In all seriousness, it’s common to be overly-worried about the results of your hair transplant since at just three months you’re probably not seeing growth… but a light tap on the head is nothing to be concerned about.

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How do you tell the difference between recession and a mature hairline?

This man sent me an email asking this question:

How do you tell the difference between recession and mature hairline?

I asked him to send me a photo of his hairline with his eyebrows lifted high so that the creases show on his forehead. A mature hairline can be seen here because the hairline is about 1/2 inch above the highest crease of the furrowed brow. The shape of a mature hairline is V-shaped which is a typical male hairline shape. If you are concerned about a receding hairline, always do this test.

mature hairline

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Should I get a hair transplant. I am 22 years old (with photo)

You absolutely should not get a hair transplant. Drugs like finasteride and/or minoxidil might work. Wait until you see what you look like at the age of 26 when your balding pattern will become more evident. Then work with a good doctor who understands the concept of a MASTER PLAN for hair loss and if transplants are warranted then, you can consider it.

Very early crown balding

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Ten things to consider before getting a hair transplant (from Reddit)

Great piece. I tell the exact same story so I fully identified with your analysis. It is good to draw these conclusions from a successful experience rather than listing all of the mistakes you made (even though the mistakes can be deduced from what you say here). I would add that a Master Plan is critical for anyone considering a hair transplant because hair loss continues even after you have a hair transplant and if you don’t plan for it correctly, waste your donor hair on your immediate needs, when you need more in 10 years, you can be in big trouble. Thanks for writing such an elegant piece.

Top Ten Things to Know about HT from Someone who Had it Twice from tressless


2019-08-12 16:18:53Ten things to consider before getting a hair transplant (from Reddit)

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Giving Myself Bald Spots

Hello. I am a 17 year old male that maybe hair transplantation is the answer to my problem. So heres what happaned. This was about 6-7 years ago when i was a young boy i used to pull on the front part of my hair. I know thta is one of the hair problems children face (Alopecia Trichotillomania), but i was doing that for a really short period of time. After about 2 weeks of pulling I had completely stopped pulling on my hair. After a long period of time most but not all of my hair grew back. Its been 6 to 7 years now and i have a few bald spots that have been bothering me ever since. I have one a little less than a dime, and my hairline isnt shaped right, and scattered mirco tin bald areas. Also, I would like to know from an estimate, how much it would cost for this procedure, and what is the difference betweeen FUE, FUT, and a hair transplant. I live in the los angeles area. I really want to fix my hair problem. Thank you.

Your first step should be to get a diagnosis. Small bald spots may reflect alopecia areata or ringworm and neither of these should be transplanted. There is no substitute for a diagnosis by a good doctor.

Assuming that you are a candidate for a hair transplant, it is difficult to estimate the cost of something that I have not seen. If you can send me pictures or give me some way to understand the size of the bald areas, maybe I can estimate the job. If it is small, use coins to tell me (e.g 3 dime size areas or one silver dollar size area). On that basis, I can estimate the job. Picking or pulling out the hair (trichotillomania) must be under absolute control or it will happen again. The picking must be solved before you transplant it. I can always tell if there is active picking going on in your head.

As you are in the Los Angeles area, pay me a visit and I will determine what the problem is, its scope, and what to do next.